Organization
PREMIER PHARMACY AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTEZ LAVARD PRINCE PHARMD. (OWNER)
(704) 496-9182
Entity
Organization
Contact information
Practice address
3010 MONROE RD STE 101, CHARLOTTE, NC 28205-7533
(704) 496-9182
(704) 496-9903
Mailing address
3010 MONROE RD STE 101, CHARLOTTE, NC 28205-7533
(704) 496-9182
(704) 496-9903
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
07/13/2022
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